Individual
LISA LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5375 WILLIAM FLYNN HWY STE 8, GIBSONIA, PA 15044-9628
(724) 444-5333
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL017251
PA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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